PLR Fortnightly Safety Report - duplicate

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

undefined

• Add location
  Address

• Select date

  Date

Previous Inspection

• Has the previous inspection been corrected and reviewed.

  Yes

  No

  N/A

• undefined

• Add media

  Media

Employee Observation / Personal Protective Equipment

• Hard Hats (mandatory)

  Good

  Fair

  Poor

  N/A

• Eye / Face Protection (mandatory)

  Yes

  No

  N/A

• Ear Protection

  Good

  Fair

  Poor

  N/A

• Dust Masks / Respirators

  Good

  Fair

  Poor

  N/A

• Clothing / Knee Pads / Class 2/3 Vests

  Good

  Fair

  Poor

  N/A

• Footwear / Foot Protection

  Good

  Fair

  Poor

  N/A

• Gloves / Hand Protection

  Good

  Fair

  Poor

  N/A

• Personal Fall Arrest / Restraint Equipment

  Good

  Fair

  Poor

  N/A

• Add media

  Media

Material Handling

• Inspected Movement Path

  Safe

  At Risk

  N/A

• Storage Area Established

  Yes

  No

  N/A

• Identified Moving Equipment

  Yes

  No

  N/A

Housekeeping

• Exits / Stairs / Walkways Clear

  Safe

  At Risk

  N/A

• Work Area Cleaned

  Safe

  At Risk

  N/A

• Packaging Removal

  Yes

  No

  N/A

• All Cable Ties Picked Up

  Safe

  At Risk

  N/A

• Add media

  Media

Ladders & Stairs

• Ladder Condition / Use

  Good

  Fair

  Poor

  N/A

• Ladder Tied Off / 3' Above Landing

  Safe

  At Risk

  N/A

• Stairs & Ramps

  Safe

  At Risk

  N/A

• Add media

  Media

Railings / Covers / Cables

• Perimeter / Stairs

  Safe

  At Risk

  N/A

• Floor / Wall Openings

  Safe

  At Risk

  N/A

• Walk ways

  Safe

  At Risk

  N/A

• 110 v Cables secured (fall protection) 3 clips

  Safe

  At Risk

  N/A

• Add media

  Media

Scaffolding

• Condition tags in place

  Yes

  No

  N/A

• Railings

  Safe

  At Risk

  N/A

• Tied to Building

  Safe

  At Risk

  N/A

• Footing adequate

  Yes

  No

  N/A

• Planks & Platforms

  Safe

  At Risk

  N/A

• Access

  Safe

  At Risk

  N/A

• Toe boards in place at access points into building

  Yes

  No

  N/A

• Add media

  Media

Fire Protection

• Hot work permit

  Yes

  No

  N/A

• Extinguisher

  Safe

  At Risk

  N/A

• Extinguisher free of obstruction and path clear

  Yes

  No

  N/A

• Flammable Materials Storage

  Safe

  At Risk

  N/A

• Fire watch required?

  Safe

  At Risk

  N/A

• Cutting Equipment

  Media

First Aid / Sanitation

• Kits & Supplies

  Yes

  No

  N/A

• Sanitation / Hand Washing

  Yes

  No

  N/A

• Clean Cool Water / Shade

  Yes

  No

  N/A

• Add media

  Media

Electrical

• Lighting / Covers

  Safe

  At Risk

  N/A

• Site Transformer

  Safe

  At Risk

  N/A

• Power Cables / Tempoary Cables

  Safe

  At Risk

  N/A

• Electrical Safe Off

  Media

Tools

• Condition

  Good

  Fair

  Poor

  N/A

• Guarded / Handel if equipped & Power Cords in good conditions

  Good

  Fair

  Poor

  N/A

• PAT Signs & Training Cards

  Yes

  No

  N/A

• Add media

  Media

Site / Public & Environmental Protection

• Excavations / Trenches

  Safe

  At Risk

  N/A

• Competent Person

  Yes

  No

  N/A

• Forklifts / Cranes / Compentent Rigger

  Safe

  At Risk

  N/A

• Trench Plates - In Place & Safe Off

  Safe

  At Risk

  N/A

• Lighting / Fences

  Safe

  At Risk

  N/A

• Posting Requirements / Signs

  Safe

  At Risk

  N/A

• Rebar Protection / Barricades

  Safe

  At Risk

  N/A

• Add media

  Media

Programs / Information

• Jobsite Safety Meeting

  Yes

  No

  N/A

• Pre-Task Meetings

  Yes

  No

  N/A

• Fall Protection Plans

  Yes

  No

  N/A

• Add media

  Media

undefined

undefined

• COMMENTS:

  Yes

  No

  N/A

• Supervisor Signature

  Sign